摩洛哥一个大都市区的自杀倾向评估。
Assessment of suicidality in a Moroccan metropolitan area.
作者信息
Agoub Mohamed, Moussaoui Driss, Kadri Nadia
机构信息
Department of Psychiatry, Ibn Rushd University Psychiatric Centre, Rue Tarik Ibn Ziad, Casablanca 20000, Morocco.
出版信息
J Affect Disord. 2006 Feb;90(2-3):223-6. doi: 10.1016/j.jad.2005.09.014. Epub 2005 Dec 13.
BACKGROUND
The aim of the study was to evaluate the prevalence of suicidal ideations and suicide attempts in a representative sample of the general population of the urban area of Casablanca, Morocco.
METHODS
The survey was conducted based on face-to-face household interviews. The Mini International Neuropsychiatric Interview (M.I.N.I.) was used to assess axis I diagnoses according to DSM-IV criteria and the M.I.N.I. suicidality module to rate the severity of active suicidality.
RESULTS
The 1-month prevalence of suicidal ideation was 6.3%. Seventeen subjects (2.1%) reported at least one suicide attempt during their lifetime. Some variables were positively associated to suicidal ideation: the non-married status, subjects with a history of psychiatric disorders, and subjects without children. At least one mental disorder was present among 88.2% of subjects with suicidal ideation. Major depressive disorder was the most prevalent one (23.5%).
LIMITATIONS
The sample was small and the prevalence was not determined longitudinally.
CONCLUSION
Suicidal ideation being relatively frequent in the general population, there is a need to develop programs of prevention of suicide.
背景
本研究旨在评估摩洛哥卡萨布兰卡市区普通人群代表性样本中自杀意念和自杀未遂的患病率。
方法
该调查基于面对面的家庭访谈进行。使用迷你国际神经精神病学访谈（M.I.N.I.）根据《精神疾病诊断与统计手册》第四版（DSM-IV）标准评估轴I诊断，并使用M.I.N.I.自杀倾向模块对活跃自杀倾向的严重程度进行评分。
结果
自杀意念的1个月患病率为6.3%。17名受试者（2.1%）报告在其一生中至少有一次自杀未遂。一些变量与自杀意念呈正相关：未婚状态、有精神疾病史的受试者以及没有孩子的受试者。有自杀意念的受试者中88.2%至少患有一种精神障碍。重度抑郁症是最常见的一种（23.5%）。
局限性
样本量小，患病率未进行纵向测定。
结论
自杀意念在普通人群中相对常见，因此有必要制定预防自杀的项目。
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